Organization
HILLSIDE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER D. JOHNSON D.D.S. (OWNER/DENTIST)
(715) 834-6603
Entity
Organization
Contact information
Practice address
507 MAIN ST, EAU CLAIRE, WI 54701-3736
(715) 834-6603
(715) 834-6652
Mailing address
507 MAIN ST, EAU CLAIRE, WI 54701-3736
(715) 834-6603
(715) 834-6652
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/02/2006
Last updated
08/22/2020
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